PACIFIC REDWOOD MEDICAL GROUP INC
NPI 1033103676
Emergency Medicine in Ukiah, CA

NPI Status: Active since September 09, 2005

Contact Information

275 HOSPITAL DR
UKIAH, CA
ZIP 95482
Phone: (707) 462-7900
Fax: (707) 462-7947

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  • Organization
  • Emergency Medicine

About PACIFIC REDWOOD MEDICAL GROUP INC

This page provides the complete NPI Profile along with additional information for Pacific Redwood Medical Group Inc, a provider established in Ukiah, California operating as a Emergency Medicine. The healthcare provider is registered in the NPI registry with number 1033103676 assigned on September 2005. The practitioner's primary taxonomy code is 207P00000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. Pacific Redwood Medical Group Inc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Dr. Gary W Fausone Md (President)

NPI
1033103676
Provider Name
PACIFIC REDWOOD MEDICAL GROUP INC
Entity Type
Organization
Location Address
275 HOSPITAL DR UKIAH, CA 95482
Location Phone
(707) 462-7900
Location Fax
(707) 462-7947
Mailing Address
PO BOX 2800 UKIAH, CA 95482
Mailing Phone
(707) 462-7900
Mailing Fax
(707) 462-7947
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-09-2005
Last Update Date
07-31-2018
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Location Map

Secondary Locations

  • 232 Hospital Dr Ste B
    Ukiah, CA 95482
    (707) 467-4994

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Emergency Medicine

Taxonomy Code
207P00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1207Q00000XAllopathic & Osteopathic Physicians

Family Medicine

 
2207R00000XAllopathic & Osteopathic Physicians

Internal Medicine

 
3208000000XAllopathic & Osteopathic Physicians

Pediatrics

 
42080P0204XAllopathic & Osteopathic Physicians

Pediatrics
Pediatric Emergency Medicine

 
52083P0500XAllopathic & Osteopathic Physicians

Preventive Medicine
Preventive Medicine/Occupational Environmental Medicine

 
62083X0100XAllopathic & Osteopathic Physicians

Preventive Medicine
Occupational Medicine

 
7208M00000XAllopathic & Osteopathic Physicians

Hospitalist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. GARY W FAUSONE MD

Authorized Official Title
PRESIDENT
Authorized Official Phone
(707) 462-7900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ06060ZOTHER (01)CABLUE SHIELD
352149100OTHER (01)DOL (DEPT OF LABOR)
17165692005OTHER (01)CASTATE COMPENSATION INS
GR0093400MEDICAID (05)CA 

Reviews for PACIFIC REDWOOD MEDICAL GROUP INC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1033103676
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2063206614
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 0 + 6 + 6 + 1 + 4 + 24 = 54
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 54 = 66

The NPI number 1033103676 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

DEBBIE L MARKS MD

Emergency Medicine

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

CHARLIE EDWARD EVANS MD

Emergency Medicine

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

BARRY SHEPPARD MD

Emergency Medicine

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

RCOA-ADVENTIST HEALTH, LLC

Clinic/Center

(Radiology, Mobile)

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(866) 293-3500

EMILY TREADWELL FREY PA

Physician Assistant

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

LILLIAN BASNER FNP

Nurse Practitioner

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

TONYA TIFFANY SELBERG PA-C

Physician Assistant

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

RONALD E GUTH M.D.

Anesthesiology

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-3111

LYNN DRESS-MEADOWS PA

Physician Assistant

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

GALEN INPATIENT PHYSICIAN

Internal Medicine

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-3111

SUSAN ANN REED RPH

Pharmacist

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 463-7345

JOSEPH R KIMBRO MD

Specialist

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-3111

PHILIP MASAO TAMANAHA M.D.

Radiology

(Diagnostic Radiology)

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 463-7626

DR. RONALD LANDIS GESTER MD

Emergency Medicine

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

MRS. REBECCA RENEE HALE RN

Registered Nurse

275 HOSPITAL DR
UKIAH VALLEY MEDICAL HOSPITAL
UKIAH, CA
ZIP 95482

(707) 462-3111

MR. RANDALL GARY MADDOX PT

Physical Therapist

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 463-7346

JOSEPH ANTHONY MUNOZ DPT

Physical Therapist

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 463-7346

EDWARD PATRICK MORGAN MPT

Physical Therapist

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-3111

ROBERT FLOYD MERRITT PT

Physical Therapist

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 463-7346

MICHAEL VAN DYKE PA-C

Physician Assistant

275 HOSPITAL DR
UKIAH, CA
ZIP 95482

(707) 462-7900

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033103676, enumerated as an "organization" on September 09, 2005.

The provider is located at 275 HOSPITAL DR UKIAH, CA 95482 and the phone number is (707) 462-7900.

Emergency Medicine with taxonomy code 207P00000X.

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.